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本文调查了98名铬作业工人,发现尿NAG-B明显升高,尿NAG-A显著低于对照组,出现NAG-A/NAG-B比值倒置(1:4,正常为3:2)。铬作业工人尿NAG-B在尿蛋白和尿β_2-MG均在正常范围时,已开始显著高于对照组,并随肾损害程度加重而明显增加,提示尿NAG-B可能为检测铬性肾损害较灵敏的指标。尿NAG-A虽显著低于对照组,但与尿蛋白和尿β_2-MG无明显相关关系(r均小于0.18,P>0.05),提示NAG-A显著下降这一特征,似与铬性肾损害无明显关系。但可能为铬接触者健康监测的一个灵敏指标,其机理有待进一步研究。
In this paper, 98 chromium workers were investigated and found that urine NAG-B was significantly elevated and urinary NAG-A was significantly lower than that of the control group, with an NAG-A / NAG-B ratio inversion (1: 4, normal 3: 2). Urine NAG-B in urine of chromium-exposed workers started to be significantly higher than that of control group when urinary protein and urinary β_2-MG were in the normal range, and increased significantly with the degree of renal damage. Urinary NAG-B may be a marker of chrome kidney Damage sensitive indicators. Although NAG-A of urine was significantly lower than that of the control group, it had no significant correlation with urinary protein and urinary β_2-MG (r less than 0.18, P> 0.05), suggesting that NAG-A significantly decreased this feature, There is no significant relationship between chromium and renal damage. But may be a sensitive indicator of health monitoring of chromium contacts, the mechanism remains to be further studied.